Trial Outcomes & Findings for The Effect of Shoulder Mobilization on Muscle Strength and Proprioception: a Randomized Double-blind Study (NCT NCT06910332)

NCT ID: NCT06910332

Last Updated: 2025-12-09

Results Overview

Laser pointer-assisted joint position reproduction test for shoulder: A laser pointer is strapped 5 cm above the lateral epicondyle. Participants actively move their arm to a predefined position (90° flexion or abduction), and the laser projection is marked. After lowering their arm and closing their eyes, they attempt to replicate the same position. The difference between the initial and reproduced positions (in millimeters) is measured

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

48 participants

Primary outcome timeframe

Before the intervention

Results posted on

2025-12-09

Participant Flow

Participants were recruited from a university setting between April and May 2025. All participants provided written informed consent.

48 participants were assessed for eligibility and randomized before any intervention was delivered. No dropouts or exclusions occurred.

Participant milestones

Participant milestones
Measure
Mobilization Group
Received passive glenohumeral joint mobilization (inferior, anterior, posterior glides).
Sham Group
Received simulated mobilization without mechanical input.
Overall Study
STARTED
24
24
Overall Study
COMPLETED
24
24
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

The Effect of Shoulder Mobilization on Muscle Strength and Proprioception: a Randomized Double-blind Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Mobilization Group
n=24 Participants
Received passive glenohumeral joint mobilization (inferior, anterior, posterior glides).
Sham Group
n=24 Participants
Received simulated mobilization without mechanical input.
Total
n=48 Participants
Total of all reporting groups
Muscle strength
External Rotation
9.82 kg
n=4 Participants
9.4 kg
n=50 Participants
9.47 kg
n=518 Participants
Age, Continuous
21.08 years
n=4 Participants
20.91 years
n=50 Participants
21 years
n=518 Participants
Sex: Female, Male
Female
14 Participants
n=4 Participants
13 Participants
n=50 Participants
27 Participants
n=518 Participants
Sex: Female, Male
Male
10 Participants
n=4 Participants
11 Participants
n=50 Participants
21 Participants
n=518 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=4 Participants
0 Participants
n=50 Participants
0 Participants
n=518 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
0 Participants
n=4 Participants
0 Participants
n=50 Participants
0 Participants
n=518 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
24 Participants
n=4 Participants
24 Participants
n=50 Participants
48 Participants
n=518 Participants
Muscle strength
Flexion
17.3 kg
n=4 Participants
19.5 kg
n=50 Participants
17.6 kg
n=518 Participants
Muscle strength
Abduction
17.6 kg
n=4 Participants
17.8 kg
n=50 Participants
17.6 kg
n=518 Participants
Muscle strength
Internal Rotation
15.4 kg
n=4 Participants
14.6 kg
n=50 Participants
14.6 kg
n=518 Participants
Proprioception Error
Flexion
54 mm
n=4 Participants
62.8 mm
n=50 Participants
57.3 mm
n=518 Participants
Proprioception Error
Abduction
86.7 mm
n=4 Participants
85.3 mm
n=50 Participants
86.2 mm
n=518 Participants

PRIMARY outcome

Timeframe: Before the intervention

Laser pointer-assisted joint position reproduction test for shoulder: A laser pointer is strapped 5 cm above the lateral epicondyle. Participants actively move their arm to a predefined position (90° flexion or abduction), and the laser projection is marked. After lowering their arm and closing their eyes, they attempt to replicate the same position. The difference between the initial and reproduced positions (in millimeters) is measured

Outcome measures

Outcome measures
Measure
Mobilization Group
n=24 Participants
Participants receive passive shoulder joint mobilization targeting the glenohumeral joint.
Sham Group
n=24 Participants
Participants undergo a placebo procedure where the practitioner mimics the mobilization technique without applying actual joint movement or distraction.
Proprioception
Proprioception Flexion
54 mm
Standard Deviation 20.9
62.8 mm
Standard Deviation 22.8
Proprioception
Proprioception Abduction
86.7 mm
Standard Deviation 32.1
85.3 mm
Standard Deviation 26.6

PRIMARY outcome

Timeframe: Immediately after intervention

Laser pointer-assisted joint position reproduction test for shoulder: A laser pointer is strapped 5 cm above the lateral epicondyle. Participants actively move their arm to a predefined position (90° flexion or abduction), and the laser projection is marked. After lowering their arm and closing their eyes, they attempt to replicate the same position. The difference between the initial and reproduced positions (in millimeters) is measured

Outcome measures

Outcome measures
Measure
Mobilization Group
n=24 Participants
Participants receive passive shoulder joint mobilization targeting the glenohumeral joint.
Sham Group
n=24 Participants
Participants undergo a placebo procedure where the practitioner mimics the mobilization technique without applying actual joint movement or distraction.
Proprioception
Proprioception Flexion
52.3 mm
Standard Deviation 23.9
52.2 mm
Standard Deviation 78.3
Proprioception
Proprioception Abduction
91.2 mm
Standard Deviation 29
78.3 mm
Standard Deviation 32.5

SECONDARY outcome

Timeframe: Before the intervention

Hand-held dynamometer (Lafayette) Muscle strength will be measured using a hand-held dynamometer (Lafayette). The assessment will focus on the shoulder flexors, abductors, internal rotators, and external rotators. Three measurements for each muscle group will be taken, and the average value will be recorded in kilograms (kg).

Outcome measures

Outcome measures
Measure
Mobilization Group
n=24 Participants
Participants receive passive shoulder joint mobilization targeting the glenohumeral joint.
Sham Group
n=24 Participants
Participants undergo a placebo procedure where the practitioner mimics the mobilization technique without applying actual joint movement or distraction.
Muscle Strength
Shoulder External Rotation
9.82 kg
Standard Deviation 3.60
9.40 kg
Standard Deviation 4.10
Muscle Strength
Shoulder Internal Rotation
15.4 kg
Standard Deviation 5.84
14.6 kg
Standard Deviation 5.91
Muscle Strength
Shoulder Flexion
17.3 kg
Standard Deviation 7.59
19.5 kg
Standard Deviation 9.08
Muscle Strength
Shoulder Abduction
17.6 kg
Standard Deviation 7.32
17.8 kg
Standard Deviation 7.58

SECONDARY outcome

Timeframe: Immediately after intervention

Hand-held dynamometer (Lafayette) Muscle strength will be measured using a hand-held dynamometer (Lafayette). The assessment will focus on the shoulder flexors, abductors, internal rotators, and external rotators. Three measurements for each muscle group will be taken, and the average value will be recorded in kilograms (kg).

Outcome measures

Outcome measures
Measure
Mobilization Group
n=24 Participants
Participants receive passive shoulder joint mobilization targeting the glenohumeral joint.
Sham Group
n=24 Participants
Participants undergo a placebo procedure where the practitioner mimics the mobilization technique without applying actual joint movement or distraction.
Muscle Strength
Shoulder Flexion
18.3 kg
Standard Deviation 8.03
18.5 kg
Standard Deviation 9.42
Muscle Strength
Shoulder Abduction
16.6 kg
Standard Deviation 6.81
16.5 kg
Standard Deviation 8.35
Muscle Strength
Shoulder External Rotation
9.83 kg
Standard Deviation 3.05
9.95 kg
Standard Deviation 4.87
Muscle Strength
Shoulder Internal Rotation
15.1 kg
Standard Deviation 5.86
14.2 kg
Standard Deviation 6.45

Adverse Events

Mobilization Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Sham Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Ali Ömer ACAR

Acıbadem University, Department of Physiotherapy and Rehabilitation

Phone: +90 216 500 44 44

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place